Bx vulva or perineum/1 lesion 56605 at Trinitas Regional Medical Center
225 Williamson St, Elizabeth, NJ · RWJBarnabas Health · · NPI 1770583999
$5,855.00
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$2,180.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$49.84 with Wellpoint vs $3,982.11 with Horizon Blue Cross Blue Shield of New Jersey — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Wellpoint | NJ Family Care | $49.84 | ↓ -99% |
| United Healthcare | Community Plan | $327.43 | ↓ -94% |
| Aetna | Better Health | $358.61 | ↓ -94% |
| Qualcare Inc | HMO/POS/PPO/WC | $654.00 | ↓ -89% |
| Amerihealth | Local Value | $912.99 | ↓ -84% |
| Amerihealth | Regional Preferred | $912.99 | ↓ -84% |
| Clover Health | Medicare Advantage | $951.61 | ↓ -84% |
| Aetna | Medicare | $951.61 | ↓ -84% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $951.61 | ↓ -84% |
| Fidelis Care | Medicare Advantage | $951.61 | ↓ -84% |
| Wellpoint | Medicare Advantage | $951.61 | ↓ -84% |
| Humana | Medicare | $951.61 | ↓ -84% |
| United Healthcare | Medicare | $970.64 | ↓ -83% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1,111.04 | ↓ -81% |
| First Health | Commercial | $1,308.00 | ↓ -78% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,390.18 | ↓ -76% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,390.18 | ↓ -76% |
| Wellcare | Ambetter Health Commercial | $1,893.70 | ↓ -68% |
| Emblem Health | Commercial | $1,903.22 | ↓ -67% |
| Cigna | HMO | $1,930.00 | ↓ -67% |
| Cigna | PPO | $2,033.00 | ↓ -65% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $2,387.40 | ↓ -59% |
| United Healthcare | Oxford Metro | $2,494.00 | ↓ -57% |
| Aetna | HMO | $2,612.00 | ↓ -55% |
| Aetna | PPO | $2,612.00 | ↓ -55% |
| United Healthcare | Nexus | $2,806.00 | ↓ -52% |
| United Healthcare | Oxford Commercial | $2,934.00 | ↓ -50% |
| United Healthcare | Commercial | $3,301.00 | ↓ -44% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $3,761.05 | ↓ -36% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $3,936.72 | ↓ -33% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $3,982.11 | ↓ -32% |
Visitor-reported prices
Comments
Bx vulva or perineum/1 lesion 56605 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $39.13 – $1,953.80 |
| Community Medical Center | Toms River | $3,786.00 | $40.07 – $1,893.70 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $38.65 – $1,944.03 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $51.30 – $1,953.80 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $42.43 – $2,040.63 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $77.31 – $1,917.94 |
| Bayshore Medical Center | Holmdel | $963.79 | $963.79 – $1,156.54 |
| Hackensack University Medical Center | Hackensack | $1,025.44 | $124.48 – $1,076.71 |